Admissions

●This service is open to the whole of the Bradford & Airedale District
●There is a pick and mix approach to the service, ranging from individual direct access investigations and interpretation through to a full package of care including GPwSI and Consultant intervention
●The service offers a one-stop-shop approach for patients

●The various tariffs are very competitive, offering value for money
●You can access the full service via Choose and Book
●You can also access the direct access investigations by fax or post
●The service is fully accredited by Bradford and Airedale tPCT

●no kids ie <18y

●see notes below

full service notes here

●use Westcliffe's cardiac referral form for everything

●fax it

●When referring to the Cardiology service at Westcliffe it is important that you give patients a UBRN number and info on how to contact us re an appointment. This applies to all the various packages we offer via C&B for Cardiology including the triage packages - I know for most other triage services you don't give the patient a UBRN but for ours you need to - many thanks. It just works the same as if referring to a secondary care service or none triage service.

Cardiac Specialist Nurse

Sharon Stockdale
Heart Failure Nurse Specialist, North Bradford area
Ecclehill Clinic
Rillington Mead
BD10 0EH

Office

01274 322187

Mobile 07932966686

any questions - ask her...

Specialised Outreach Clinics

Name

Location

Tel

Referral Criteria

How to refer

Rapid Access Chest Pain Clinic

BRI

●Chest pain, recent onset

●you have to think it is angina

●not a diagnostic service but a risk stratification service

●if rest pain 24-48h, admit

●use unified cardiac referral form for everything

●fax to central triage

Consultants

Name	Location	Tel	Special Interests	How to refer
Dr Lindsay	BRI		interventional cardiology eg angios	●will be triaged and seen by GPSI if appropriate always use unified cardiac referral form ●re-referring? click on the preferred cardiologist on the unified form
Dr Morley	BRI		arrythmias
Dr Kurian	BRI		interventional cardiology

Westcliffe Cardiac Referrals - criteria include

General adult cardiology service for opinion and advice on all aspects of cardiac disease, to give direct clinical opinion or suggest the most appropriate pathway to proceed along in a signposting function.

Chest Pain excluding unstable rest pain, pain fulfilling the criteria of the Rapid Access Chest Pain Service
Shortness of breath excluding clinically unstable patients, clear of non-cardiac cause
Palpitations excluding unstable patients (requiring urgent review)
Syncope (Blackout)  excluding patients with know structural heart disease (aortic stenosis)
‘Dizziness’  excluding those associated with true vertigo (should see ENT initially)
Abnormal ECG
Abnormal 24hr Rhythm Monitors
Abnormal Heart Sounds
Cardiac Murmurs
Hypertension  excluding malignant hypertensionm pregnancy related hypertension, associated with Acute Renal Failure, known to be due to endocrine causes
Hypotension
Anginal Pain  excluding acute anginal symptoms, unstable angina, patient currently under interventational cardiologist

More Notes from the Cardiac Team

Any patient with anginal chest pain at rest or palpitations/dysrhythmia causing cardiac decompensation (SOB, oedema) should be considered for acute admission.
Any patient with anginal chest pain at rest or palpitations/dysrhythmia causing cardiac decompensation (SOB, oedema) where the clinician feels that admission is inappropriate but needs urgent review should either be discussed with a consultant cardiologist or cardiac GPwSI (Matt Fay @ Westcliffe 580787) re urgent clinic appointment. The GPwSI service can help facilitate referral in to BTHT urgently if deemed necessary but this is left to the clinician's discretion.
Any patient which the clinician feels needs to be in clinic soon should be referred to Cardiac Triage but also call Alison Keighley (323561) so a 'soon' appointment can be made
Any patient with anginal sounding chest pain of new onset should be referred to the Rapid Access Chest Pain Service (Fax 382371) irrespective of their ability to walk on a treadmill or resting ECG. Known or suspected aortic stenosis remains the only exclusion and should be referred to Cardiac Triage Service at Eccelshill (Fax 323216).
Any patient with a return of angina sounding chest pain after intervention and previous discharge from the hospital services should be referred to Rapid Access Chest Pain Service (Fax 382371) ) irrespective of their ability to walk on a treadmill or resting ECG. Known or suspected aortic stenosis remains the only exclusion and should be referred to Cardiac Triage Service at Eccelshill (Fax 323216).
Any patient with increasing angina should be referred to the Cardiac Triage Service at Eccleshill (Fax 323216) where there will be a maximum of 7 days before triage.
Any patient who has previously seen a cardiologist but has now been discharged should be referred to Cardiac Triage Service at Eccelshill (Fax 323216)
Any patient (clinician) who wishes to be seen by a specific consultant (i.e. has previously been seen by one of the cardiologists and wishes to see them again) should be referred to Cardiac Triage Service at Eccelshill (Fax 323216) but this should be made explicit in the form (you can click on a specific consultant). If this is sent directly to BTHT it will be redirected to Eccleshill and thus delay a patients review

The referrals to Cardiac Triage are seen within a maximum of 7 days (i.e. the referral comes in after one of the GPSIs have just left and thus will wait till the following week).

We have in the past, and will continue to offer, the ability of a clinician to ask for a patient to be seen in the next clinic and will always strive to be able to do this. Any suggestions or comments are gratefully received, but could you copy in Beverley Slater (Beverley.slater@bradford.nhs.uk)